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S33.6XXS
Sprain of sacroiliac joint, sequela
ICD10CM code
Medical Policies and Guidelines for Sprain of sacroiliac joint, sequela
Related policies from health plans
CIGNA
Acupuncture - (CPG024)
CIGNA
Intraoperative Monitoring - (0509)
Similar Codes
ICD10CM codes
S33.6XXS
- Sprain of sacroiliac joint, sequela
S33.2XXS
- Dislocation of sacroiliac and sacrococcygeal joint, sequela
S33.5XXS
- Sprain of ligaments of lumbar spine, sequela
S33.6
- Sprain of sacroiliac joint
S33.6XXD
- Sprain of sacroiliac joint, subsequent encounter
S33.8XXS
- Sprain of other parts of lumbar spine and pelvis, sequela
S33.9XXS
- Sprain of unspecified parts of lumbar spine and pelvis, sequela
S33.6XXA
- Sprain of sacroiliac joint, initial encounter
S13.4XXS
- Sprain of ligaments of cervical spine, sequela
S23.3XXS
- Sprain of ligaments of thoracic spine, sequela
HCPCS codes
L0623
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum
L0621
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
L0624
- Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the
G0260
- Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic
L0622
- Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
G0259
- Injection procedure for sacroiliac joint; arthrography
L5696
- Addition to lower extremity, above knee or knee disarticulation, pelvic joint
L5698
- Addition to lower extremity, above knee or knee disarticulation, silesian bandage
L0630
- Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0631
- Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
CPT4 codes
01170
- Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
01160
- Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
27280
- Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when
72202
- Radiologic examination, sacroiliac joints; 3 or more views
64451
- Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with imag
72200
- Radiologic examination, sacroiliac joints; less than 3 views
64625
- Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluorosco
15933
- Excision, sacral pressure ulcer, with primary suture; with ostectomy
15931
- Excision, sacral pressure ulcer, with primary suture
27279
- Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with ima